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<br /> <br /> Staff Report <br /> <br /> <br /> <br />To: Mayor Fischer and Members of the City Council <br /> <br />From: Ben Harrington, AICP, Community Development Director <br /> <br />Date: November 12, 2025 <br /> <br />Re: Massage and Complementary and Alternative Health Care Practices (CAHC) <br /> <br />Action To Be Considered: <br />Provide direction to staff on how the city should regulate complementary and alternative health <br />care (CAHC) practices involving physical touch, including whether such services should be <br />treated the same as massage or addressed separately under the regulatory/licensing code. <br /> <br />Background: <br />Under Minnesota Statutes §146A, complementary and alternative health care (CAHC) includes a <br />broad range of healing or therapeutic practices that fall outside conventional medical care, such <br />as massage therapy, reiki, reflexology, energy work, and therapeutic touch. The State establishes <br />limited conduct and disclosure standards for these practitioners but does not license them. Local <br />governments may adopt their own business licensing and performance requirements to ensure <br />consumer protection and regulatory consistency. <br /> <br />Cities, including Little Canada, do typically license and regulate massage establishments <br />specifically to ensure professional conduct, maintain legitimate business operations, and prevent <br />misuse of such spaces for adult-oriented purposes. <br /> <br />City staff have recently received inquiries from practitioners seeking to offer CAHC services <br />involving physical touch that are not traditional massage therapy. Little Canada’s licensing <br />provisions, found in Chapters 2202 and 2203, were written to regulate traditional massage <br />therapy businesses and narrowly define massage activity, resulting in ambiguity surrounding <br />other CAHC practices involving physical touch. These chapters include performance standards <br />related to hours of operation and practitioner qualifications, as well as a cap of three (3) massage <br />establishments citywide. To qualify for licensure, massage practitioners must complete at least <br />600 hours of coursework in massage theory, anatomy, and hygiene. After consultation with the <br />City Clerk, staff are not recommending an increase to the number of allowed massage licenses at <br />this time, as there is concern about oversaturation of such businesses within the city. <br /> <br />Staff believe it is prudent to use this opportunity to clarify how the city regulates touch-based <br />CAHC practices that are not traditional massage therapy. To that end, staff have identified <br />several options for the Council’s consideration. <br />